Paul Harris Fellow Nomination Form
Submit your nomination for the 2026 Paul Harris Fellow recognition, including nominee details, selected service categories, and supporting information.
Nominee Information
Nominee Name
*
Organization / Occupation
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Previous Paul Harris Fellow Recognition?
*
Yes
No
Unknown
If yes, provide details if known
Recognition Category
Please select up to two (2) categories you feel are most appropriate for this nomination.
*
Community Service - Recognizes significant leadership contributions to the advancement and betterment of the BEL (Bridgenorth, Ennismore, Lakefield) community.
International Service - Recognizes significant contributions toward improving communities in other parts of the world and/or advancing peace and international understanding.
Vocational Service - Recognizes individuals who use their vocational skills in a manner consistent with Rotary ideals to benefit the community and/or international causes.
Youth Service - Recognizes significant contributions toward supporting youth through programs, mentorship, leadership development, education, or related initiatives.
Environmental Service - Recognizes activities that strengthen the conservation and protection of the environment.
Club Service - Recognizes outstanding Rotary service, leadership, and dedication to the Rotary Club of Bridgenorth Ennismore Lakefield (BEL). Club Service nominations are reserved for current members of the Rotary Club of BEL.
Nominator Information
Your Name
*
Relationship to Nominee
*
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email Address
*
example@example.com
Nomination Questions
Describe the nominee's service contributions
*
Describe the impact of the nominee's contributions, including who benefited and the scale of impact
*
Describe the longevity and consistency of the nominee's contributions
*
Describe the nominee's leadership, initiative, and personal commitment
*
Explain how the nominee demonstrates Rotary values such as Service Above Self, integrity, inclusion, ethical leadership, goodwill, peacebuilding, or community service
*
Additional information, including awards, recognitions, testimonials, or unique circumstances
Done
Should be Empty: